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Find out if vitamins or supplements such as ginkgo, fish oil, biotin, vitamins A, C, E, D, and B12, or selenium reduce symptoms or relapse in people with multiple sclerosis (MS)
The main drawbacks involve needle discomfort, potential injection site reactions, and the requirement for sterile technique
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Medications that can induce B6 deficiency or antagonize its actionsuch as isoniazid, cycloserine, hydralazine, and penicillaminemay necessitate supplemental B6 under medical supervision
The SELECT trial [3] (N=17,604, NEJM 2023) demonstrated that these effects extend beyond weight loss to 20% cardiovascular risk reduction over 4 years
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